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2008 | 80 | 4 | 217-221

Article title

Leg Ulceration Associated with Incompetence of the Gastrocnemius Vein - A Case Report



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This paper presents a case of the patient with leg ulcers resulting from incompetence of the gastrocnemius vein with refluxing variety referred to as the "enigma of the gastrocnemius vein". The operation consisted of the selected ligature of incompetent perforator joining the gastrocnemius vein and the small saphenous vein. After the operation ulcers healed and reflux in the system of the gastrocnemius vein disappeared. Surgical tactics of operations for varicose veins accompanied by incompetence of the gastrocnemius vein is also discussed.








Physical description


1 - 4 - 2008
10 - 5 - 2008


  • Out-patient Department of Angiology, Private Medical Institution "Sana", Pszczyna


  • Aragão JA, Reis FP, Pitta GB et al.: Anatomical study of the gastrocnemius venous network and proposal for a classification of the veins. Eur J Vasc Endovasc Surg 2006; 31: 439-42.[Crossref]
  • Aragão JA, Reis FP, Poli de Figueiredo LF et al.: Anatomia das veias e troncos gastrocnemios em cadáveres humanos adultos. J Vasc Br 2004; 3: 297-303.
  • Urigo F, Pischedda A, Mocci M et al.: Incompetence of the m. gemellus veins in varicose veins: its incidence and phlebographic study. Radiol Med (Torino) 1992; 84: 48-53.
  • Juhan C, Barthélémy P, Alimi Y et al.: Prevalence of gastrocnemius vein insufficiency using color-coded Doppler ultrasound (modifications of the therapeutic strategy). Bull Acad Natl Med 1993; 177: 233-39.
  • Simka M, Palma de M: Operacje hemodynamiczne w leczeniu żylaków kończyn dolnych. Przegl Flebol 2007; 15: 15-22.
  • Juhan C, Barthélémy P, Alimi Y et al.: Récidives après chirurgie des veines jumelles. J Mal Vasc 1997; 22: 326-29.
  • Hobbs JT: The enigma of the gastrocnemius vein. Phlebology 1988; 3: 19-30.
  • Palma de M, Carandina S, Zamboni P: Surgical resolution of the enigma of the gastrocnemius vein (abstract). Phlebology 2006; 21: 141-56.
  • Simka M: Anatomia i patofizjologia refluksu żylnego u chorych z żylakami kończyn dolnych. Przegl Flebol 2006; 14: 83-89.
  • Bergan J, Pascarella L, Mekenas L: Venous disorders: treatment with sclerosant foam. J Cardiovasc Surg 2006; 47: 115-24.
  • Cabrera J, Redondo P, Becerra A et al.: Ultrasound-guided injection of polidocanol microfoam in the management of venous leg ulcers. Arch Dermatol 2004; 140: 667-73.
  • Whiddon LL: The treatment of venous ulcers of the lower extremities. Proc Bayl Univ Med Cent 2007; 20: 363-66.[PubMed]
  • Caggiati A, Bergan J, Gloviczki P et al.: Nomenclature of the veins of the lower limbs: An international interdisciplinary consensus statement. J Vasc Surg 2002: 36: 416-22.[Crossref]
  • Juan J, Escribano JM, Criado E i wsp: Haemodynamic surgery for varicose veins: surgical strategy. Phlebology 2005; 20: 2-13.[Crossref]

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